493010545-4-30-2026-01-CC-JGAN-DTMPPY-20260430113016

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 493010545
Report Date: 04/30/2026
Date Signed: 04/30/2026 11:30:32 AM

Document Has Been Signed on 04/30/2026 11:30 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME:	LEARNING EXPERIENCE, THE		FACILITY NUMBER:	493010545
ADMINISTRATOR/ DIRECTOR:	ZETTLER, MARIO		FACILITY TYPE:	860
ADDRESS:	6150 COMMERCE BLVD		TELEPHONE:	(707) 847-4894
CITY:	ROHNERT PARK	STATE: CA	ZIP CODE:	94928
CAPACITY: 170	TOTAL ENROLLED CHILDREN: 170	CENSUS: 94	DATE:	04/30/2026
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:14 AM
MET WITH:	Mario Zettler		TIME VISIT/ INSPECTION COMPLETED:	11:39 AM

NARRATIVE

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During the course of a complaint investigation, additional information was received. Licensing Program Analyst (LPA) Jessica Gaumann met with Director (D1) Mario Zettler to discuss and obtain additional information. The director stated that staff member (S1) is currently employed as a teacher at the facility. He reported that he was unaware S1 did not have a valid criminal record clearance, as S1 was hired prior to his appointment as director. On 04/29/26 the LPA reviewed the facility’s Guardian roster and observed that S1 was not listed. D1 confirmed that S1 started on 12/15/25 and works five days a week. D1 provided a copy of S1's timesheet for the past four weeks which indicates she worked 5 days each week.

Department records indicate that S1 had not obtained department approved criminal record clearance or exemption status. The facility did not ensure S1 obtained a criminal record clearance before working at the facility.

LPA reminded the director that the facility is responsible for ensuring all staff obtain proper clearance through Guardian prior to working at the center. The director confirmed that the facility has access to Guardian and can view its current staff roster. During today’s visit, S1 was directed to leave the premises. S1 may not return to the facility or resume duties until a valid criminal record clearance or an approved criminal record exemption has been obtained. LPA provided LIC9163 Request for Live Scan to S1.

The following violations of the California Code of Regulations, Title 22; Division 12, was observed: see LIC 809D. A $3,000 Civil Penalty has been accessed.

Continued on LIC809-C

NAME OF LICENSING PROGRAM MANAGER: Melinda Mohr
NAME OF LICENSING PROGRAM ANALYST: Jessica Gaumann
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/30/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LEARNING EXPERIENCE, THE	FACILITY NUMBER: 493010545
	VISIT DATE: 04/30/2026

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LPA, Jessica Gaumann informed the director, Mario Zettler, that this report dated 04/30/26 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Jessica Gaumann informed the director, Mario Zettler, to provide a copy of this licensing report dated 04/30/26 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

This report was read and reviewed with the director, Mario Zettler. Notice of site visit shall be posted for 30 days. Appeal rights provided.

NAME OF LICENSING PROGRAM MANAGER: Melinda Mohr
NAME OF LICENSING PROGRAM ANALYST: Jessica Gaumann
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/30/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/30/2026 11:30 AM - It Cannot Be Edited

Created By: Jessica Gaumann On 04/30/2026 at 10:28 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LEARNING EXPERIENCE, THE	FACILITY NUMBER: 493010545
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/30/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/01/2026 Section Cited CCR 101170(e)(1)	1 2 3 4 5 6 7	Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department This requirement was not met as evidenced by:	1 2 3 4 5 6 7	LPA provided LIC9163 to S1 and stated she will not be able to return to the facility without a criminal record clearance. D1 stated he will submit a written procedure for hiring new staff, with steps to ensure each staff has an eligible clearance or exemption prior to working at the facility by 05/01/26 to LPA Gaumann via email: jessica.gaumann@dss.ca.gov
	8 9 10 11 12 13 14	Based on interview and record review, S1 was working with children at the facility without an associated criminal record clearance, which poses an immediate health & safety and personal rights risk to the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Melinda Mohr
NAME OF LICENSING PROGRAM MANAGER:

	Jessica Gaumann
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/30/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

LIC809 (FAS) - (06/04)

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